Dipatimenti ya Chakudya ndi Mankhwala inavomereza kugwiritsa ntchito Prozac (fluoxetine) yodetsa nkhaŵa ngati mankhwala kwa ana ndi achinyamata omwe ali ndi zaka 7 mpaka 17 ndi kuvutika maganizo (vuto lalikulu lachisokonezo) kapena matenda osokoneza bongo (OCD) mu 2003.
Chizindikiro chatsopanochi chinatsatira maphunziro omwe anasonyeza kuti Prozac inali yotetezeka kwa ana omwe ali ndi vutoli.
Koma chifukwa chakuti mankhwala sali ovomerezeka a FDA sizikutanthauza kuti sizitetezeka. Zimangotanthauza kuti kampani yomwe imapangitsa kuti mankhwalawa asagwiritsidwe ntchito ku FDA kuti avomereze. Prozac wakhala akugwiritsidwa bwino mwa anthu akulu kuyambira 1987.
Kuchokera pamatope pofotokoza za matenda
Mankhwala ambiri si a FDA omwe amavomerezedwa kuti agwiritsidwe ntchito kwa ana koma akugwiritsidwanso ntchito 'off-label', kutanthauza kuti amagwiritsidwa ntchito kwa ana ang'onoang'ono kuti zaka zoyenera kapena zina zomwe sizivomerezedwa. Ndipotu, malinga ndi magazini ya American Academy of Pediatrics, 'mankhwala atatu mwa magawo anayi a mankhwala omwe akugulitsidwa masiku ano ku United States alibe ntchito za ana.'
Izi sizikutanthauza kuti sikuli bwino kugwiritsa ntchito mankhwalawa. Posankha kugwiritsa ntchito mankhwala ochotsera mankhwala, dokotala ayenera kupanga chisankhocho malinga ndi umboni wabwino wa sayansi, chidziwitso cha zachipatala, kapena zofalitsa. Sikuli ngati dokotala wanu akuyesa mwana wanu.
Kugwiritsiridwa ntchito kwa albuterol pofuna kuthandiza ana omwe ali ndi mphumu ndi chitsanzo chabwino cha kugwiritsa ntchito mankhwala osokoneza bongo. Ngakhale kawirikawiri amagwiritsidwa ntchito pa makanda ndi ana, alubuterol ndi a FDA okha omwe amavomerezedwa kuti agwiritsidwe ntchito kwa ana oposa zaka ziwiri. Mafupa ena ambiri amayamba , monga Dulera ndi Advair ndi FDA okhawo amene amavomereza kuti agwiritsidwe ntchito kwa ana opitirira zaka 12.
Nanga ndichifukwa chiyani mankhwalawa akugwiritsidwa ntchito ngati sakuvomerezedwa ndi FDA?
Pankhani ya mankhwala awa a mphumu, palibe mankhwala ena oti agwiritse ntchito ndipo mankhwalawa agwiritsidwa ntchito kwambiri, iwo amaganiza kuti ndi otetezeka ndipo maphunziro asonyeza kuti amagwira ntchito. Ndipo njira ina, yosasamalira kapena kuletsa zizindikiro za ana a mphumu , sizingakhale zovomerezeka.
N'chimodzimodzinso ndi kuvutika maganizo ndi mavuto ena ammaganizo, zomwe zimawoneka mwachisawawa kwa ana ndipo nthawi zina zimafuna mankhwala osokoneza bongo.
Tikuwona mankhwala ovomerezeka a FDA kwa ana omwe ali ndi matenda a ubongo, ngakhale, kuphatikizapo:
- Ana a lexapro (escitalopram) (12 ndipitirira) ndi kuvutika maganizo
- Ana a Luvox (fluvoxamine) (8-17) ndi OCD
- Zoloft (sertraline) ana (6-17) ndi OCD
- Ana otchedwa Lithium (12 ndipitirira) omwe ali ndi maganizo ochititsa munthu kusinthasintha maganizo
- Orap (pimozide) ana (12 ndipitirira) ali ndi vuto la Tourette
- Ana a risperidone (risperidone) autistic (5 kapena kupitirira)
Mankhwala ena, monga Lithium, Zyprexa (olanzapine), Seroquel (quetiapine), ndi Abilify (aripiprazole) ndipo amavomereza ana omwe ali ndi matenda a bipolar kapena schizophrenia.
Kodi mungadziwe bwanji ngati mwana wanu wapatsidwa mankhwala ochiritsira?
Mukhoza kufunsa dokotala wanu kapena wamasitolo, kapena kungoyang'anirani phukusi (PI) lomwe linabwera ndi mankhwala.
Mu PI, fufuzani chigawo chotchedwa 'Zizindikiro ndi Ntchito' kapena 'Kugwiritsa Ntchito Pachipatala' ndipo onani zaka zomwe zalembedwa. Kumbukirani kuti chifukwa chakuti mwana wanu ali wamng'ono kuposa zaka zowerengedwa sizikutanthauza kuti mankhwalawo sali otetezeka ndipo simuyenera kuima popanda kulankhula ndi dokotala wanu.
Kutsika kwa 'Kutayika' Mankhwala Amagwiritsa ntchito
Chinthu chimodzi cholakwika ndi chakuti madokotala nthawi zina amayenera kulingalira mlingo kuti apereke ana aang'ono malinga ndi njira yomwe amagwiritsidwa ntchito kawirikawiri kwa ana achikulire ndi akuluakulu. Zimenezi zingachititse ana kupeza mankhwala ochepa kwambiri kapena ochepa kwambiri.
Cholakwika china ndi chakuti ngati dokotala sakumasuka kugwiritsa ntchito mankhwala osokoneza bongo 'ndiye kuti mwana wanu sangathe kupeza mankhwala abwino kwambiri.
Dokotala wanu akhoza kugwiritsa ntchito mankhwala achikulire ndi zotsatira zina kapena mwana wanu sangakhale akulandira mankhwala alionse.
Dongosolo lachidakwa la mankhwala linayambitsidwa ndi a FDA kuyesa kupeza makampani osokoneza bongo kuyesa mankhwala awo kwa ana. Bungwe la Best Pharmaceuticals for Children Act limagwiritsanso ntchito 'kuwongolera chitetezo ndi kupindulitsa kwa mankhwala ogwiritsira ntchito mankhwala.' Tikuyembekeza kuti amatsogolere ku mankhwala ambiri kuti ayesedwe ndi kuvomerezedwa kuti agwiritsidwe ntchito kwa ana kuti asafunike kugwiritsidwa ntchito.
Zotsatira:
Sukulu ya American Academy of Pediatrics Policy. Kuchokera Pogwiritsa Ntchito Mankhwala Osokoneza Bongo Ana. Matenda. March 2014, VOLUME 133 / ISSUE 3